HazardCommunication Program

Sample

Please customize this sample program according to your workplace. Also, your written hazard communication program can only be

effective if it is put into practice!

A. Company Policy

(Add Name of Employer) is committed to the prevention of exposures that result in injury and/or illness; and to comply with all applicable state health and safety rules. To make sure that all affected employees know about information concerning the dangers of all hazardous chemicals used by (Add Name of Employer), the following hazard communication program has been established. This written program will be available in (Specify the location) for review by any interested employee.

All work units of (Add Name of Employer) will participate in the hazard communication program. B. Container Labeling

(Add name of person and title) is responsible for container labeling procedures, reviewing, and updating. The labeling system used at (Add Name of Employer) is as follows:

(Describe the labeling system, including the labels or other forms of warning used, and written alternatives to labeling, if any.)

The procedures for proper labeling of all containers, and reviewing and updating label warnings are as follows:

(Describe the procedure for labeling, including: a description of the procedures for labeling of secondary containers

used, including making sure that they have the appropriate identification and hazard warning, etc.;

a description of procedures for reviewing and updating label warnings, how often the review is conducted; and the

the name of the person and position who is responsible for reviewing and updating label warnings.)

It is the policy of (Add Name of Employer) that no container will be released for use until the above procedures are followed.C. Safety Data Sheets (SDS)

(Add name of person and title) is responsible for establishing and monitoring (Add Name of Employer) ’s SDS program. This person will make sure procedures are developed to obtain the necessary SDSs and will review incoming SDSs for new or significant health and safety information. This person will make certain that any new information is passed on to affected employees.

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The procedures to obtain SDSs and review incoming SDSs for new or significant health and safety information are as follows:

(Describe the procedure for obtaining and updating SDSs, including: procedures on how to make sure copies are current and updated; how any new information is passed on to affected employees; and the procedures for employee access in work areas.)

Copies of SDSs for all hazardous chemicals in use will be kept in (Specify the location). SDSs will be available to all employees during each work shift. If an SDS is not available or a new chemical in use does not have an SDS, immediately contact:

(Add name of person and title)

Note: If an alternative to printed Material Safety Data Sheets is used (such as computer data), provide a description of the format.

D. Employee Information and Training

(Add name of person and title) is responsible for the employee training program.The procedures for how employees will be informed and trained are as follows:

(Describe the procedure for employee training, including: the methods used for general and site-specific training; how employees will be informed when non-routine tasks arise.

If your employees work at other employers’ job sites, then specify where and how these employees will have access to SDSs and labels, and how they will be informed of precautionary measures to take during normal or emergency operations, if any.)

(Add name of person and title) will make sure that before starting work, each new employee of (Add Name of Employer) will attend a health and safety orientation that includes information and training on the following:

An overview of the requirements contained in the Hazard Communication Standard.

Hazardous chemicals present at his or her work places. Physical and health risks of the hazardous chemical. The symptoms of overexposure. How to determine the presence or release of hazardous chemicals in

his or her work area.

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How to reduce or prevent exposure to hazardous chemicals through use of control procedures, work practices, and personal protective equipment.

Steps (Add name of Employer) has taken to reduce or prevent exposure to hazardous chemicals.

Procedures to follow if employees are overexposed to hazardous chemicals.

How to read labels and review SDSs to obtain hazard information. Location of the SDS file and written hazard communication program. An overview of the requirements contained in the Hazard

Communication Standard.

Before introducing a new chemical hazard into any section of this employer, each employee in that section will be given information and training as outlined above for the new chemical.

E. Hazardous non-routine tasks

Periodically, employees are required to perform hazardous non-routine tasks. (Some examples of non-routine tasks are confined space entry, tank cleaning, and painting reactor vessels.) Non-routine tasks that are performed at (Add Name of Employer) include:

1. (Add any non-routine tasks performed by employees)2. (Add any non-routine tasks performed by employees)3. (Add any non-routine tasks performed by employees)

Prior to starting work on such projects, each affected employee will be given information by (Add name of person and title) about the hazardous chemicals he or she may encounter during these activities:

(For each non-routine task identified above: list the specific chemical hazards; protective and safety measures the employee can use; and the steps the employer has taken to reduce the hazards, including

ventilation, respirators, presence of another employee, and emergency procedures.)

F. Multi-employer work places

It is the responsibility of (Add name of person and title) to provide employers of any other employees at the work site with the following information:

Copies of SDSs (or make them available at a central location) for any hazardous chemicals that the other employer(s)’ employee may be exposed to while working.

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Inform other employers of any precautionary measures that need to be taken to protect employees during normal operating conditions or in foreseeable emergencies.

Provide other employers with an explanation of the labeling system that is used at the work site.

It is also the responsibility of (Add name of person and title) to identify and obtain SDSs for the chemicals the contractor is bringing into the work place.

G. List of hazardous chemicals

The following table lists all known hazardous chemicals used by our employees. Further information on each chemical may be obtained by reviewing SDSs located at (Specify location).

The criteria (e.g., label warnings, SDS information, etc.) used to evaluate the chemicals are:

(Include a description of a plan for how you will update the list.)

List of Chemicals / SDS identity: (Here is where you put the chemical list developed during the inventory. Arrange this list so that you are able to cross-reference it with your SDS file and the labels on your containers.)

Chemical Name Manufacturer Location Used(Insert information here) (Insert information here) (Insert information here)(Insert information here) (Insert information here) (Insert information here)(Insert information here) (Insert information here) (Insert information here)

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